HomeMy WebLinkAboutMortgage_Market (2)"'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ = FOR DEDUCTION FROM ASSESSED VALUATION
• SFdte Fam 03709IR71 / 609)
� � PresaibeC by Departmenl of Local Govemmerd Financa
File Ma
wsrRUCnoNS: D
To 6e Med in person or by mail with the CourrtyAuditor or Counry Recorder ol Ne county where the p`operty is k�at�D 9 Fo wim:
Fiiirg Dates: 1) Real Pmperty Must file durng fhe year for which the deduction is soughL Coun Audimr
2) Mo6Be / ManufaUUred Homes rat assessed as Real Property Must file dunng the tweNe (72) mor fiAs�� ry
before March 31 of each year the deduction is soughf. Counry Recorder
Sea reverse side !or additional instivctions and qualifications. GIBSON COUNTY AUDITOR
Aypfxanl (owref arfontraU buYer - see msbiccDrn m ravarse sqe) .. .. �_/.
Assrssed vahie d rn�l p'apHty as W
MB�d� 1. anrJlt ytlr
M. WhBI 6 h15 / 112f BYdd Sh2lB OI YIfPl251?
tt riartie m femr�d'a EiRerent Nan
nber / kgal desaiption
-�� -a � -��
M1brtgage / ContraG L
Mem7� 1 artent year
�i ���C DE�PK.
contrad se0er (mmiba� and straef, �dy, sbte, a� LP oode)
Name W assignee or oNer owner or holder W mortgage
AGErea ot asticgiee (numDar an0 sbeet mY. stafe. aM
Oces appifam o.m wov�Y in am' ana
munry m Indiana?
❑ Yes ❑ No
DeducGOn approved tr� tln amwnt of.
1 �'!,!_.� p —
W
as of Mtutqage / ConbaC
n�� af eppOCat'v�
numbrl
Is Ne appli�nt tlie sok
tegal w eputta6le o+rtinl�
❑ Yes ❑ No
�fOWI19� WIf�150RIC0l1801�18f i�NfI5pO1S0. ��LB WII�I W�IOfII
property in question: MnuaOy Asessed
eal Pruperty ❑ Hrutua�y Pssessed
DI"a1V'C1' ��..`:!l O/.0......
Card NO. . �..lOc�,�I. `.:.....,
��o�,3�a.��
_ COUNTYAUDROR
20 _ 20 20 _
�+��Y
�_
Date (rt�wvn. daY. Y��
an PmPenY _
❑ No
20 _
I I We certify urWer the penatty of perjury that the ahove and foregoing infortnation is true and corteG aM that the applirant is a resident of Indiana a�
owner I contract buyer ot ihe afwemerrtioned property on date application is fileC.
ireWre (owrer: nm rome) M 1 ✓- oate (momn, dar. r�d
�iEent addrnss of appFfant (num6ererkl sLee4 aN. ��e, aM LP )
���.5 e, 3oa s. o�,1t�u� c;
i auNwaed Cy duy ezecuted Pw.er ol AttorneY a �y IC G7.1-12-0.7—�
s y aWm'¢ed person (numOnrard sbee4 ary. sfate. entl LP mtle)